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            <title>SACC Form</title>
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            <span id="pagetop"></span>
            <table width="100%" cellpadding="0" cellspacing="0" border="0" align="center">
                <tr>
                    <td width="51%"><span class="style14"><b>SurName</b>, <span id="fname">FirstName</span></span></td>
                    <td width="2%" style="text-align:center; font:bold 18px Arial, Helvetica, sans-serif;" id="psummary">&nbsp;</td>

                    <td width="47%" align="right" class="style16";><strong>Id</strong>:Form_ID&nbsp;<span class="style16"><strong>Submitted</strong>: CreatedDate</span></td>
                </tr>
            </table>
            <br/>
            <div>
                <table table width="100%" border="1" cellpadding="0" cellspacing="0"  bgcolor="#FC6" align="left" style="border:2px solid #999;" >
                    <tr>
                        <td width="30%"><strong>Desired Amount</strong></td>
                        <td width="70%"><strong>LoanAmount</strong></td>
                    </tr>
                    <tr>
                        <td><strong> Loan Purpose</strong></td>
                        <td>PurposeSummary</td>
                    </tr>    
                </table>
            </div>
            <div style="clear:both"></div>

            <h3>Personal Details</h3>
            <table  width="100%" border="1" cellpadding="0" cellspacing="0">
                <tr>
                    <td><b>Full Name</b></td>
                    <td>FirstName MiddleName SurName</td>
                    <td><strong>Title</strong></td>
                    <td>ClientTitle</td>
                </tr>
                <tr>
                    <td><strong>Citizenship</strong></td>
                    <td>Residency</td>
                    <td><b>Date Of Birth</b></td>
                    <td>DateOfBirth</td>
                </tr>
                <tr>
                    <td><b>Driver License No.</b></td>
                    <td>DriversLicence</td>
                    <td><b>E-Mail Address </b></td>
                    <td>EMailAddress</td>
                </tr>
                <tr>
                    <td><b>Mobile</b></td>
                    <td>MobileNumber</td>
                    <td><b>Home Phone </b></td>
                    <td>HomePhone</td>
                </tr>
                <tr>
                    <td><b>Residential Status</b></td>
                    <td>ResidentialStatus</td>
                    <td><b>Number of Dependant</b></td>
                    <td>NumberofDependant</td>
                </tr>
                <tr>
                    <td><b>Address </b></td>
                    <td colspan="3">StreetNo,&nbsp;Street, Suburb,&nbsp;State,&nbsp;Postcode</td>
                </tr>
            </table>

            <table id="calculationTable" width="660" border="0" cellpadding="0" cellspacing="0" style="margin:20px 0 20px 0; display:none;">

                <tr>
                    <td width="171"><strong>Total Income</strong></td>
                    <td width="30" align="right">$</td>
                    <td width="457" id="totalIncome" style="text-align: left">TotalIncome}</td>
                </tr>
                <tr>
                    <td style="text-align:right">&nbsp;</td>
                    <td style="text-align:right; font:18px 'Arial Black', Gadget, sans-serif"><strong>-</strong></td>
                    <td>&nbsp;</td>
                </tr>
                <tr>
                    <td style="text-align:right">Declared Living expense</td>
                    <td style="text-align:right">$</td>
                    <td style="text-align: left">LivingExpensesPayment}</td>
                </tr>
                <tr>
                    <td>Standard Living expense</td>
                    <td align="right">$</td>
                    <td style="text-align: left">LowestLivingExpensesPayment}</td>
                </tr>
                <tr>
                    <td style="text-align:right">Credit Commitment</td>
                    <td style="text-align:right">$</td>
                    <td id="totalPayment" style="text-align: left">CorrectTotalPayment}</td>
                </tr>
                <tr>
                    <td>&nbsp;</td>
                    <td align="right" style="font:18px 'Arial Black', Gadget, sans-serif""><strong>=</strong></td>
                    <td style="text-align: left"></td>
                </tr>
                <tr>
                    <td><strong>Disposable Income</strong></td>
                    <td align="right">$</td>
                    <td class="di" style="text-align: left"></td>
                </tr>
            </table>

            <h3>Employment </h3>
            <table border="1" cellpadding="0" cellspacing="0" width="100%" id="personalTable">
                <tr>
                    <td><strong>Employment Status</strong></td>
                    <td>TypeOfEmployment</td>
                </tr>
                <tr>
                    <td><strong>Title in Occupation</strong></td>
                    <td>TitleInOccupation</td>
                </tr>
                <tr>
                    <td><strong>Employer Name</strong></td>
                    <td>BusinessName</td>
                </tr>
                <tr>
                    <td><strong>H.R. Contact Number</strong></td>
                    <td>WorkPhone</td>
                </tr>

                <tr>
                    <td><b>Work Income After Tax</b></td>
                    <td>IncomeAfterTax</td>
                </tr>
                <tr>
                    <td><b>Work Income Period</b></td>
                    <td>IncomeafterTaxPeriod</td>
                </tr>
                <tr style="background-color:#CCC;">
                    <td><strong>Total Income </strong></td>
                    <td><strong>$TotalIncome (Monthly)</strong></td>
                </tr>
            </table>

            <h3>Liabilities</h3>
            <table width="100%"
                   border="1" cellpadding="0" cellspacing="0" >
                <tr>
                    <th width="25%"> Type</th>
                    <th width="25%">Payment</th>
                    <th width="25%"> Payment period</th>
                </tr>
                <tr class="vLia">
                    <td>Loan repayments</td>
                    <td class="owing">Loanrepayment</td>
                    <td>loanrepayment_paymentperiod</td>
                </tr>
                <tr class="vLia">
                    <td>Credit Card repayment</td>
                    <td class="owing">Creditcard</td>
                    <td>creditcard_paymentperiod</td>
                </tr>
                <tr class="vLia">
                    <td>Boarding/Renting Fee</td>
                    <td class="owing">Boardingrentingfee</td>
                    <td  id="creditCard">boardingrentingfee_paymentperiod</td>
                </tr>
                <tr class="vLia">
                    <td>Other Living Expense</td>
                    <td class="owing">Livingexpenses</td>
                    <td>livingexpenses_payment</td>
                </tr>
                <tr bgcolor="#CCCCCC">
                    <td ><strong>Total Payment </strong></td>
                    <td colspan="2"><strong>TotalPayment (Monthly)</strong></td>
                </tr>	
            </table>

            <h3>Credit</h3>
            <table width="100%"
                   border="1" align="left" cellpadding="0" cellspacing="0" >


                <tr>
                    <td height="19"><strong>Have you ever applied for bankruptcy or hardship?</strong></td>
                    <td><span id="hardship1">Hardship</span></td>
                </tr>
                <tr>
                    <td width="33%"><strong>Your credit history?</strong></td>
                    <td width="33%" id="chistory1"><strong>CreditHistory</strong></td>
                </tr>
                <tr>
                    <td>Discharge Date</td>
                    <td id="chistory5">DateOfDischarge </td>
                </tr>
                <tr>
                    <td>Have Default After Discharge?</td>
                    <td id="chistory3">DefaultAfterDischarge</td>
                </tr>
                <tr>
                    <td><strong>Total Outstanding Value </strong></td>
                    <td>totalOutstanding</td>
                </tr>

            </table>
            <div style="clear:both"></div>
        </div>


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